From the Division of Plastic Surgery, Albany Medical Center; and the State University of New York, Upstate Medical University.
Plast Reconstr Surg. 2020 Feb;145(2):329e-336e. doi: 10.1097/PRS.0000000000006463.
Videos on YouTube can be posted without regulation or content oversight. Unfortunately, many patients use YouTube as a resource on aesthetic surgery, leading to misinformation. Currently, there are no objective assessments of the quality of information on YouTube about aesthetic surgery.
YouTube was queried for videos about the 12 most common aesthetic surgical procedures, identified from the 2015 American Society of Plastic Surgeons procedural statistics between May and June of 2016. The top 25 results for each search term were scored using the modified Ensuring Quality Information for Patients criteria based on video structure, content, and author identification. Average Ensuring Quality Information for Patients score, view count, and video duration were compared between authorship groups.
A total of 523 videos were graded after excluding duplicates. The mean modified Ensuring Quality Information for Patients score for all videos was 13.1 (SE, 0.18) of a possible 27. The videos under the search "nose reshaping" had the lowest mean score of 10.24 (SE, 0.74), whereas "breast augmentation" had the highest score of 15.96 (SE, 0.65). Physician authorship accounted for 59 percent of included videos and had a higher mean Ensuring Quality Information for Patients score than those by patients. Only three of the 21 search terms had a mean modified Ensuring Quality Information for Patients score meeting criteria for high-quality videos.
The information contained in aesthetic surgery videos on YouTube is low quality. Patients should be aware that the information has the potential to be inaccurate. Plastic surgeons should be encouraged to develop high-quality videos to educate patients.
YouTube 上的视频可以在没有监管或内容监督的情况下发布。不幸的是，许多患者将 YouTube 作为美容手术的资源，导致信息错误。目前，还没有对关于美容手术的 YouTube 上信息质量的客观评估。
2016 年 5 月至 6 月，我们在 YouTube 上查询了 2015 年美国整形外科学会程序统计中排名前 12 位的美容手术的视频。每个搜索词的前 25 个结果根据视频结构、内容和作者识别情况，使用改良的 Ensuring Quality Information for Patients 标准进行评分。比较了作者群体之间的平均 Ensuring Quality Information for Patients 评分、观看次数和视频时长。
在排除重复项后，共有 523 个视频被评分。所有视频的平均改良 Ensuring Quality Information for Patients 评分为 13.1（SE，0.18），满分为 27 分。在搜索“鼻部重塑”的视频中，平均得分最低，为 10.24（SE，0.74），而“乳房增大”的得分最高，为 15.96（SE，0.65）。医生作者的作品占所有视频的 59%，平均 Ensuring Quality Information for Patients 评分高于患者作者。在 21 个搜索词中，只有 3 个的平均改良 Ensuring Quality Information for Patients 评分达到高质量视频的标准。
YouTube 上美容手术视频中的信息质量较低。患者应该意识到这些信息有可能不准确。应该鼓励整形外科医生制作高质量的视频来教育患者。
